Individual provider Active NPI

Kim Oanh Oanh Le, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1134745581
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP323107 Issued in GA
Practice address
3617 Roswell Rd NE Ste a
Atlanta, GA 30305-1111
Phone
(404) 996-0196
Fax
(404) 467-2489
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP323107 GA Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027846 OH
Family Nurse Practitioner 363LF0000X 4704304130 MI
Family Nurse Practitioner 363LF0000X 11265 CT

Addresses

Primary practice location

3617 Roswell Rd NE Ste a
Atlanta, GA 30305-1111

Mailing address

4973 Lakeside Dr
Dunwoody, GA 30360-1740
Phone (248) 219-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221229002214 CT Practitioner - Nurse Practitioner 3072928423
I20231009000854 GA Practitioner - Nurse Practitioner 3072928423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

5438 Peachtree Blvd
Chamblee, GA 30341-2232
Phone (470) 816-0988

6660 Roswell Nerd
Sandy Springs, GA 30328-3167
Phone (404) 996-0195

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11265CTMDFamily Nurse Practitioner
APRN-NP323107GAMDFamily Nurse Practitioner
4704304130MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3617 Roswell Rd NE
Ste A
Atlanta, GA 30305
Phone (404) 996-0196

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1134745581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4973 LAKESIDE DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303601740",
            "telephone_number": "248-219-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 ROSWELL RD NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051111",
            "telephone_number": "404-996-0196",
            "fax_number": "404-467-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KIM OANH",
        "middle_name": "OANH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP323107",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027846",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.